Gynecomastia in men and breast. What's there to do surgery? (photos)

Doctor Answers 10

Treatment of gynecomastia

Your problem is not just with your breasts -- you are significantly overweight.  If you wish to have surgery and get the best possible result, then you first have to do your part -- lose weight.
Once you have done so, you will find that your breasts are still there -- albeit somewhat smaller.  A surgeon can then remove both fat and breast tissue and reduce the size of your breasts significantly.
For further info, please consult my website, which is specifically devoted to gynecomastia.  ww
Elliot W. Jacobs, MD, FACSNew York City

Treatment of gynecomastia

Thank you for your question!  Gynecomastia is best diagnosed with a physical exam by a board certified plastic surgeon. The best treatment of gynecomastia is surgery that involves liposuction with gland excision.  This is performed through a small incision at the areola and performed as an outpatient surgery.  Best of luck to you!

Chad Robbins, MD
Nashville Plastic Surgeon
5.0 out of 5 stars 33 reviews

Gynecomastia in men and breast. What's there to do surgery?

Thank you for the question and picture. Accurate diagnosis would necessitate physical examination. It IS important to differentiate gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). ***Treatment will differ depending on diagnosis. In most cases, gynecomastia is treated with resection of the excess breast tissue; peripheral chest liposuction may also be helpful.

My best suggestion: get into the "shape" you want to be physically (in other words, achieve your long-term stable weight if you are not there already). Then if your chest wall is still of concern, seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with.

You may find the attached link helpful to you as you learn more. Best wishes.

How to Treat Gynecomastia

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have the medical condition known as gynecomastia, in one of the four grades.
About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast #enlargement.
Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.
There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you.
The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Options for male breasts?

Thanks for your question. Men who are unhappy with their chest have the option of a few procedures. Liposuction, removal of breast tissue and skin excision can all be performed to improve a man's chest. Not all of these are necessary, Most men may benefit from lipo and tissue excision. Ideal patients are healthy and closest to their ideal weight. This ensures the best and safest outcome from surgery. I hope this helps and all the best.

Excision of the breast tissue and fat will help you but lose some weight first

you will get a much better result if you can drop some weight before surgery. i do this surgery under GA and you go home the same day. i will place drains that will come out about 5 days later in the office. you can shower the next day. you will wear a compression vest for about 10 days. i can usually just do a small incision in the  lower half of your areola. see an experience plastic surgeon.david berman md

David E. Berman, MD
Sterling Plastic Surgeon
4.9 out of 5 stars 76 reviews

Gynecomastia surgery, options?

    Gynecomastia surgery is designed to remove male breast tissue and to contour the chest to a masculine appearance.  It is best to pursue this when you have reached your goal weight.  The surgery often involves both direct excision of male breast tissue and liposuction to contour the chest.  See a board certified plastic surgeon and good luck.

John Zavell, MD, FACS
Toledo Plastic Surgeon
4.9 out of 5 stars 34 reviews

Gynecomastia in men and breast. What's there to do surgery?

Thank you for your question.  For an optimal result, it's important to get down close to your ideal weight before surgery.  Surgery would involve removal of breast fat and glandular tissue.  Be sure to consult with an experienced board certified plastic surgeon.  Good luck.

Zachary Farris, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 14 reviews


There are several issue for your case. The first is to remove both the excess glandular and adipose tissue from your breasts. The second issue is for you to optimize your diet and the third issue is for you to work out more to build your chest muscles.

Gynecomastia request

You will require the traditional gynecomastia repair involving direct excision of discoid tissues as well as liposuction of the peripheral breast fat in order to gain the results that you are desiring. Please see example of patients who have had the above surgery.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.